Organization
DEVELOPMENTAL DELAY REHABILITATION SERVICES INC.
Active
Other names
Consult Co.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERENCE G. BLACKWELL JR. S.A.S., B.C.B.A. (CEO)
(845) 623-3658
Entity
Organization
Contact information
Practice address
14 STURBRDIGE COURT, NANUET, NY 10954-1032
(845) 623-3658
Mailing address
14 STURBRDIGE COURT, NANUET, NY 10954-1032
(845) 623-3658
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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